Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1982657862

1982657862 was paid $561K by Medicaid between Jan 2018 and May 2020, across 34 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 19% of everything it billed.

33Billing provider info1982657862
33aNPI1982657862
33bProvider type—
28Total paid$561K
24GClaims80,438
24DCodes billed34
24AFirst – last monthJan 2018 – May 2020
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201818,207$503K
201951,452$55K
202010,779$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19% 9,448 7,019 $108K
A4267 Contraceptive supply, condom, male, each 18% 7,584 4,440 $104K
J3490 Unclassified drugs 16% 11,996 7,142 $87K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11% 8,562 8,528 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 5,112 3,455 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.2% 1,642 1,040 $29K
81025 4.9% 5,124 4,000 $27K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.7% 1,107 976 $21K
S4993 Contraceptive pills for birth control 2.5% 2,112 1,291 $14K
99201 2.4% 1,357 1,037 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1.8% 230 170 $10K
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 1.7% 656 318 $10K
22 more codes
99000 1.2% 3,476 $7K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 1,896 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,541 $3K
87806 <1% 4,103 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,036 $2K
11982 <1% 244 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 233 $1K
83986 <1% 1,774 $1K
S0190 Mifepristone, oral, 200 mg <1% 470 $1K
11981 <1% 267 $1K
11976 <1% 27 $702.82
85018 <1% 949 $548.44
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 1,096 $163.68
86901 0% 291 $0.00
58301 0% 68 $0.00
58300 0% 102 $0.00
59840 0% 88 $0.00
J7304 Contraceptive supply, hormone containing patch, each 0% 14 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 24 $0.00
S0191 Misoprostol, oral, 200 mcg 0% 480 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 237 $0.00
81002 0% 92 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.